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f <br /> PERMIT FEE CALCULATION(S). <br /> r: F <br /> 2002 State Statute Yes;:This Section'Applies <br /> The replacement of a Residential fixture or appliance that,meess:alltr' <br /> 1) Does not require modification to electricalior'gas'seryice �, <br /> 2) Has a total cost of $500.00 or less• ezcludiriir cos ., <br /> 3) Is improved,installed or replaced by the ho(reovrierz7o oli 'a <br /> Skip next sections Cpst of Pet <br /> Sate Suziar <br /> w <br /> Mali 1! Fe�. <br /> If above does not apply, follow guidelines below ' <br /> 1. Contract Price is .0 12 5 W of job with a �Mifiittium:Fee.o <br /> .�, <br /> (con act price) <br /> 2. State Surcharge. **Add the State 13uilding"Codi <br /> (contract price) ����^° � <br /> 3. Posta a and Han (Only mail-in a l cati6ij).� r <br /> g g . ( Y PP�.� � .�� <br /> 4. TOTAL PERMIT FEE (Add lines:l 3 above) , <br /> CONTRACT-PRICE or JOB COST-means the-actua or etim to d a <br /> including materials, labor, profit,'and other fixed costs°Ars <br /> It` f e <br /> done. If any material,:equipment, labor, or,installation are s a <br /> reasonable.market value of such items must be Ac' ed to-#hey i a s <br /> purposes. In the event that,there is a dispufe ors the amount o <br /> of a signed copy of the actual contract. 4 , <br /> ** The STATE SURCHARGE is .0005 of the, --price,contract-- u yde _ 0 <br /> For valuations over$1;000,000 calf the Department of[nspechon e; e <br /> The undersigned hereby applies to the City,for issuance <br /> s fq <br /> in strict accordance with the ordinances,of the City' an'd<tfiee a r' <br /> certifies that.all statements-made on this appl"_atiori are <br /> Applicant's Signature:Tr 1=1111NRA , <br /> t s <br /> b�*ate.: }J k¢na i a: k - a �; ,q y "`✓' <br /> t rl <br /> 4 � ' <br />